Organization Active NPI

Lenlock RX, LLC Dba Cleburne Pharmacy

  • Community/Retail Pharmacy
  • Anniston, AL
National Provider Identifier
1003500752
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LENLOCK RX, LLC DBA CLEBURNE PHARMACY
Practice address
21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624
Phone
(256) 444-6282
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Tant
Title
Owner
Phone
(770) 680-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624

Mailing address

21 Bill Robison Pkwy Ste B
Anniston, AL 36206-2624
Phone (256) 444-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240820004141 AL Part B Supplier - Mass Immunization (Roster Biller Only) 6002354180 Practice locations: Anniston, AL

National Provider Directory

National Provider Directory
Tax ID family
Lenlock RX LLC Dba Cleburne2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21 Bill Robison Pkwy
Ste B
Anniston, AL 36206
Phone (256) 444-6282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1003500752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BILL ROBISON PKWY STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362062624",
            "telephone_number": "256-444-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BILL ROBISON PKWY STE B",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362062624",
            "telephone_number": "256-444-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENLOCK RX, LLC DBA CLEBURNE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-680-1997"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.